CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Uchealth Pikes Peak Regional Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $1,119
Cash Discount Price: $1,472
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Uchealth Pikes Peak Regional Hospital is $1,119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,472. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.18x the Medicare baseline. Located in 16420 W Us Highway 24, Woodland Park, CO.

Cash / Self-Pay

$1,472

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,119

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$950.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $950.1 (100%)

Cash / Self-Pay: $1,472 (155%)

Insurance Median: $1,119 (118%)

Cash: $1,472 (155% of Medicare)

Ins. Median: $1,119 (118% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $950.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$460 - $1,509	48%
Blue Cross Blue Shield	$460 - $1,716	48%
Cigna	$460 - $1,472	48%
Cms	$460	48%
Devoted Health	$460	48%
Humana	$460	48%
Kaiser	$460 - $1,564	48%
Select Health	$460 - $4,007	48%
UnitedHealthcare	$460 - $3,090	48%
Simplified Benefits Administration	$843 - $929	89%
Kaiser Public Option	$1,104	116%
Kaiser Kp Select	$1,325	139%
Multiplan/Phcs	$1,454	153%
First Health	$1,564	165%
Rocky Mountain Health Plan	$1,564	165%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,472.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uchealth Pikes Peak Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.